Organization Active NPI

Cardinal EMS LLC

  • Land Ambulance
  • Marietta, GA
National Provider Identifier
1104669191
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CARDINAL EMS LLC
Practice address
3411 Austell Rd SW Ste 108
Marietta, GA 30008-5796
Phone
(404) 987-6326
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Devon W. BarkleyNPI 1861273427
Title
Owner
Phone
(404) 987-6326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3411 Austell Rd SW Ste 108
Marietta, GA 30008-5796

Mailing address

7243 Brittany Way
Douglasville, GA 30134-4075
Phone (404) 904-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822001268 GA Part B Supplier - Ambulance Service Supplier 1850830886 Practice locations: Austell, GA

National Provider Directory

National Provider Directory

Locations

3411 Austell Rd SW
Ste 108
Marietta, GA 30008
Phone (404) 987-6326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1104669191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 BRITTANY WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344075",
            "telephone_number": "404-904-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 AUSTELL RD SW STE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085796",
            "telephone_number": "404-987-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "BARKLEY",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-987-6326"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.